# BETH BROCATO LCSW LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265808471
- **Authorized official:** BETH BROCATO LCSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (703) 400-8505

## Contact information

- **Practice address:** 10555 MAIN ST, SUITE 300, FAIRFAX, VA 22030-3306
- **Practice address phone:** (703) 400-8505
- **Mailing address:** 10555 MAIN ST, SUITE 300, FAIRFAX, VA 22030-3306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904006752 | VA | Yes |

## Other

- **Enumeration date:** 08/12/2015
- **Last updated:** 08/12/2015